Doctor Name: | MRS. MARY KATHRYN KAZANOWSKI |
NPI Number: | 1013110576 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 018462-23-05 |
Business Practice Address: | 125 Langford Rd Raymond, NH - 030771710 |
Business Phone Number: | 6038959303 |
Business Fax Number: | 6038954944 |
Mailing Address: | 11 Weymouth Dr, BEDFORD |
State: | NH |
Postal Code: | 031105025 |
Phone Number: | 6034722550 |
Fax Number: | 6034723933 |
NPI Enumeration Date: | 06/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 018462-23-05 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |